Name:
Mosaicplasty - OATS Procedure
Description:
Mosaicplasty - OATS Procedure
Thumbnail URL:
https://cadmoremediastorage.blob.core.windows.net/9b91e176-7feb-468e-8880-7cf2b5dc58d7/videoscrubberimages/Scrubber_1.jpg
Duration:
T00H06M48S
Embed URL:
https://stream.cadmore.media/player/9b91e176-7feb-468e-8880-7cf2b5dc58d7
Content URL:
https://cadmoreoriginalmedia.blob.core.windows.net/9b91e176-7feb-468e-8880-7cf2b5dc58d7/MOSAICPLASTY _OATS PROCEDURE.mp4?sv=2019-02-02&sr=c&sig=0f2dhNn01wXPeza9EbuLvV46N%2BXL3X3%2FDu6SPPi4h68%3D&st=2024-11-23T11%3A30%3A58Z&se=2024-11-23T13%3A35%3A58Z&sp=r
Upload Date:
2024-05-31T00:00:00.0000000
Transcript:
Language: EN.
Segment:0 .
SHARATH KR: Hello, friends. In this video, I am demonstrating mosaicplasty or OATS procedure, you can see that there is a defect, full thickness cartilage defect in the medial femoral condyle. This person is aged about 32 years. I am doing ACL reconstruction with lateral extra articular tenodesis simultaneously. After diaphyseal has been reconstructed,
SHARATH KR: I am taking the measurement of the defect of cartilage from the medial femoral condyle. This is OATS device that you measured 8mm diameter. I am now marking supra patellar area or the lateral part of the trochlea with the needle so that the straight path for the donor area is located.
SHARATH KR: I'm checking from the scope and no incision has been made from the supra condylar and the lateral part of the popliteal area and the donor area is, donor cartilage bone is being harvested. The same 8mm diameter tube now being used to harvest the intact cartilage for the non weight bearing area of the suprapatellar lateral part of the trochlear.
SHARATH KR: The diameter is 8mm and the length is 15mm. For the integration of the bone, the length has to be 15mm so that the 15mm cylinder is being packed. You can see that full cylinder of 15mm with 8mm diameter has been taken. We can see the same thing what we did is being displayed, how we did from outside camera. This is the same device which we used.
SHARATH KR: We are tapping 15mm and checking from arthroscope. And after 15mm bone has been marked, this device has to be rotated three times complete circle from the front and back so that the bone cylinder should not break inside and whole of the thickness of the cylinder has to be extracted inside the tube.
SHARATH KR: The same thing is now recorded. After that has been done, the same thing, which we are checking from the our defective area here we are removing the damaged cartilage part and creating the hollow space of the same diameter and here I am taking 13mm so that the 2mm extra, I can tap it
SHARATH KR: so that the compression of the area is achieved primarily. This is the area where the cartilage has to be replaced. That 8mm of the damaged cartilage part, along with the bone has been taken down, taken out. This will be placed to the supra patellar area where we took the donor bone. You can see that the sleeve
SHARATH KR: after the device which contained the intact cartilage which we have harvested is being placed snugly and exactly in the same direction where we did the cylindrical tunnel area which we have created. See the same thing is being shown here.
SHARATH KR: How we are placing, seeing with arthroscope and this device is now with the screwing movement, that bone is now completely seated in the defective area. Now the intact cartilage part is now replaced and exactly in the same direction and in the same area where we have
SHARATH KR: marked. Now this is being tapped, that 2mm, which we took extra with, he's being tapped here with the device to tap this. And now the primary compression is being achieved with this. You can see that the completely new cartilage and nice cartilage has been replaced in the area where there was a defective full thickness damage in the cartilage.
SHARATH KR: That was due to pivoting injury in this person while playing. He had injured ACL and there was a massive, there is a massive biochip test positive. So for that reason, we are doing ACL reconstruction, lateral extra articular tenodesis and also OATS procedure simultaneously. You can see that this cartilage is now complete, intact,
SHARATH KR: and this completes the procedure of OATS. Now to the extension of it, That bone which we have taken from these parties, This part can be replaced in the donor area that we did in this patient. This completes the mosaicplasty procedure. Thank you for watching this video. Please subscribe to my channel and like
SHARATH KR: To these videos If you have found that this video is useful and informative. Thank you.
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